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. , , CITY OF ORONO * z 0 1 5 - 0 1 4 8 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U19/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3926 CHERRY AVE <br /> PIN : 08-117-23-33-0019 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$7500 ESCROW IS TIED TO BUILDING PERMIT-2014-01447 <br /> APPLICANT ESCROW FEE- BUILDING 7,500.00 <br /> TOTAL 7,500.00 <br /> STONEWOOD, LLC Payment(s) <br /> 153 E LAKE STREET CHECK 13806 7,500.00 <br /> WAYZATA, MN 55391- <br /> (612)462-4000 <br /> Minnesota State License#: BUIL-BC594315 <br /> OWNER <br /> WASHUTA, KENNETH <br /> 3926 CHERRY AVE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pemtit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permi[s. All provisions of laws and ordinances governing[his type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wi[h[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />